Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.47 / $128.63 / $152.94	Professional		$102.47	$128.63	$152.94
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $57.61 / $87.87 / $163.51	Facility		$57.61	$87.87	$163.51
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $80.81 / $119.33 / $127.97	Facility		$80.81	$119.33	$127.97
Providence Facility/Professional Facility Modifier Low / Median / High Price $58.29 / $92.26 / $169.90	Facility		$58.29	$92.26	$169.90